tag:blogger.com,1999:blog-18943510.post6677905226357621861..comments2016-12-09T05:16:20.988-06:00Comments on Dr. Wes: Warfarin's Labeling FiascoDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-18943510.post-52058207975265408522007-08-17T17:38:00.000-05:002007-08-17T17:38:00.000-05:00Eric-"...and we were schlepping the Old Guy in wee...Eric-<BR/><BR/><I>"...and we were schlepping the Old Guy in weekly until we got him stabilized."</I><BR/><BR/>Thanks for your insights. But I guess I don't see how this genetic testing will change practice, except to raise costs.<BR/><BR/>For instance, I don't start 45kg 85 year-old ladies on Amiodarone or antibiotics at 5 mg of coumadin a day (I make a mental adjustment and start them on <B>DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-70744798107354109412007-08-17T14:51:00.000-05:002007-08-17T14:51:00.000-05:00There's a point-of-care test in late-stage testing...There's a point-of-care test in late-stage testing that returns VKORC1 and 2C9 in about an hour, which is reasonable in this setting - give them a midrange dose based on age, height and gender (AKA, the Sconce algorithm), and in an hour, refine the dose based on the genetics information. Even if the POC assay is run in a lab setting, you're looking at a day or two out of range, not weeks, and Eric, AKA The Pragmatic Caregiverhttp://www.blogger.com/profile/10006690628166460007noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-52206164022500851462007-08-16T13:23:00.000-05:002007-08-16T13:23:00.000-05:00I'll bet the Lovenox people are pretty pleased abo...I'll bet the Lovenox people are pretty pleased about all of this :)Suzannehttp://www.blogger.com/profile/04462374784013899043noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-72519898459395476422007-08-16T10:00:00.000-05:002007-08-16T10:00:00.000-05:00Very nice post. Good questions, but I have no answ...Very nice post. Good questions, but I have no answers.rlbateshttp://www.blogger.com/profile/15236331355857884458noreply@blogger.com